Claim total
$1,527.01
base $93.83 · payer covered $1,427.01
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-08-12
- Stop
- 2015-08-12
The parties
- Patient
- patient Wyatt Lewis McGlynn
- Provider
- provider Nikia Mills
- Payer
- payer Medicaid
Record id
0123b099-d1de-2c0a-4e6e-270838ea22e5